ticket to class_3

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Stanbridge University *

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1400

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Biology

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Jan 9, 2024

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pdf

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4

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Revised 4.12.23 Page 1 of 4 Student Name: ____________________________________ Date: ____________________ Course Week: ___4___ Directions: Answer the following questions using your course textbook as a resource. Provide your rationale for selecting each of your answers, i.e. What is the question asking? Why is this answer correct? Why are the other choices incorrect or not the best answer? Assignment must be handwritten and handed into your instructor at the beginning of class for assignment check-off. Submit a copy to Edverum on or before the due date. 1. A client informs the nurse that she intends to bottle feed her baby. Which actions should the nurse encourage the client to perform? Select all that apply. a. Increase her fluid intake for a few days. b. Massage her breasts every 4 hours. c. Apply heat packs to her axillae. d. Wear a supportive bra 24 hours a day. e. Stand with her back toward the shower water. Rationale: ________________________________________________________________________________ ________________________________________________________________________________________ 2. A nurse is performing a postpartum assessment on a client who delivered vaginally. Which actions will the nurse perform? Select all that apply. a. Palpate the breasts. b. Auscultate the carotid. c. Check vaginal discharge. d. Assess the extremities. e. Inspect the perineum. Rationale: ________________________________________________________________________________ ________________________________________________________________________________________ AVN 2140 – Ticket to Class 3 Student Worksheet
Revised 3.28.23 Page 2 of 4 3. During a postpartum assessment, the nurse assesses the calves of a client’s legs. The nurse is checking for which signs/symptoms? Select all that apply. a. Pain b. Warmth c. Discharge d. Ecchymosis e. Redness Rationale: ________________________________________________________________________________ ________________________________________________________________________________________ 4. A nurse is performing a postpartum assessment on a client whose baby was delivered by cesarean section. Which actions will the nurse perform? Select all that apply. a. Auscultate the abdomen. b. Palpate the fundus. c. Assess the nipple skin integrity. d. Assess the central venous pressure. e. Auscultate the lung fields. Rationale: ________________________________________________________________________________ ________________________________________________________________________________________ 5. A nurse is explaining to a client about monthly hormonal changes. Starting with day 1 of the menstrual cycle, please place the following four hormones in the chronological order in which they rise during the menstrual cycle. Correct Order Hormones 1. Follicle-stimulating hormone (FSH) 2. Gonadotropin-releasing hormone (GnRH) 3. Luteinizing hormone (LH) 4. Progesterone
Revised 3.28.23 Page 3 of 4 6. A woman had a forceps-assisted birth 2 hours ago. Baseline vital signs were T 37.1° C (98.8° F), P 78, R 20, BP 118/70. Which assessment suggests possible development of hypovolemic shock in this woman? a. Firm fundus, slightly right of midline b. Pulse 100, respirations 24 c. Respirations 22, blood pressure 114/76 d. Light lochia rubra with small clots Rationale: ________________________________________________________________________________ ________________________________________________________________________________________ 7. A woman had a 16-hour labor that ended with the cesarean birth of a 4313g (9.5lb) newborn. Her membranes were ruptured for 24 hours and oxytocin augmentation of labor was attempted before the cesarean birth. She has an IV infusion of Ringers’ lactate and an indwelling catheter. For which complication should the nurse be most observant during the immediate recovery-room period? a. Uterine atony b. Endometritis c. Uterine subinvolution d. Urinary tract infection Rationale: ________________________________________________________________________________ ________________________________________________________________________________________ 8. If the nurse finds that a new mother’s uterus is soft, the appropriate initial action is to: a. insert an indwelling catheter. b. massage the uterus until it is firm. c. check the woman’s vital signs. d. increase the rate of the IV fluid. Rationale: ________________________________________________________________________________ ________________________________________________________________________________________
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Revised 3.28.23 Page 4 of 4 9. Methylergonovine (Methergine) should be avoided if the woman has: a. uterine atony. b. retained placenta. c. hypertension. d. endometritis. Rationale: ________________________________________________________________________________ ________________________________________________________________________________________ 10. Which woman is at greatest risk for bleeding from a vaginal wall laceration? a. Vaginal birth assisted with vacuum extractor. b. First newborn who weighs 3632g (8lb). c. History of uterine atony with previous birth. d. Oxytocin (Pitocin) used to induce labor. Rationale: ________________________________________________________________________________ ________________________________________________________________________________________

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